|
Church
Affiliation |
Event |
Time
Limit (hrs) |
Sanctuary |
Fellowship Hall |
309 Annex |
Additional Cost Per
Hour |
Individual Rooms/Hr (8-5
M-F) |
Individual Rooms/Hr (off
hrs) |
Additional Hours
Use/Fee |
Fees Applied |
|
Church Family |
Funeral/Memorial |
|
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
0 |
$0.00 |
|
Church Family |
Wedding/Rehearsal* |
4 |
$50.00 |
$50.00 |
$0.00 |
$0.00 |
$0.00 |
$0.00 |
0 |
|
|
Church Family |
Other
Events |
2 |
$0.00 |
$0.00 |
$0.00 |
$25.00 |
$0.00 |
$0.00 |
|
|
|
Non-Member |
Wedding/Rehearsal* |
4 |
$300.00 |
$200.00 |
$50.00 |
$50.00 |
$30.00 |
$50.00 |
|
|
|
Non-Member |
Funeral
/ Memorial |
3 |
$150.00 |
$100.00 |
$50.00 |
$50.00 |
$30.00 |
$50.00 |
|
|
|
Non-Member |
Other
Events* |
4 |
$300.00 |
$200.00 |
$100.00 |
$75.00 |
$30.00 |
$50.00 |
|
|
|
Supported
Ministry** |
Miscellaneous |
4 |
$50.00 |
$50.00 |
$25.00 |
$25.00 |
$25.00 |
$25.00 |
|
|
|
Audio/Visual
Equipment* |
Use
Fees -> |
|
$100.00 |
$50.00 |
$50.00 |
|
$50.00 |
$50.00 |
|
|
|
Audio/Visual
Attendant*** |
Attendant
Fee $25/hr Per
attendant |
|
|
|
|
|
|
|
|
|
|
Kitchen
Use* |
Use
Fee $100 + |
|
|
|
|
$25.00 |
|
|
|
|
|
Kitchen
Attendant*** |
Attendant
Fee $25/hr |
|
|
|
|
|
|
|
|
|
|
Facility
Attendant*** |
Attendant
Fee $25/hr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
TOTAL FEES |
|
*Reflects only fee involved with
facility usage. Additional fees may apply.
**Supported Ministry includes those with
line items in our budget unless excluded by Building Use Coordinator.
***Attendant
must be present to operate audio/visual equipment, instruct use of kitchen
and/or assist with facility use.
Thank you very much for your concern,
help and cooperation.
The LBC Building Use Coordinator is:
_____________________ Phone:
_______________
I have read and agree to all of the requirements of
the attached LBC Facilities Use Policy:
Responsible Party (21 years or older):
_________________________________________
Signature:
_____________________________________________ Date: _____________
Valid ID Number: __________________________________
Address: ___________________________ City: ___________
State: ___Zip code: __________
Daytime Telephone: _______________
Evening Telephone: ________________
Return to: Louisa Baptist Church - P. O. Box 552
– Louisa, VA 23093 - 540-967-1364